NPIMap

Organization Active NPI

Auxilio Pediatrico

  • Specialist
  • San Juan, PR
National Provider Identifier
1689010142
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
41 Issued in PR
Legal business name
AUXILIO PEDIATRICO
Practice address
735 Ave Ponce de Leon Ste 375
San Juan, PR 00917-5025
Phone
(787) 771-7934
Fax
(787) 771-7402
NPI assigned
May 10, 2013
Last updated
May 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jorge Luis Matta, MHSA
Title
Administrator
Phone
(787) 758-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 41 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 375
San Juan, PR 00917-5025

Mailing address

PO Box 191227
San Juan, PR 00919-1227
Phone (787) 771-7934

National Provider Directory

National Provider Directory
Tax ID family
GRP Med de Familia Ho Aux29 organizations share this tax ID, including this one
Part of
GRP Med de Familia Ho Aux

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1689010142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-771-7934",
            "fax_number": "787-771-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 375",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175025",
            "telephone_number": "787-771-7934",
            "fax_number": "787-771-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXILIO PEDIATRICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-758-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "41",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.